Olsson Mariann, Nilsson Marie, Fugl-Meyer Kerstin, Petersson Lena-Marie, Wennman-Larsen Agneta, Kjeldgård Linnea, Alexanderson Kristina
Division of Social Work, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Department of Social Work, Karolinska University Hospital, Stockholm, Sweden.
Qual Life Res. 2017 Mar;26(3):673-684. doi: 10.1007/s11136-016-1479-z. Epub 2017 Jan 9.
To explore, among women of working age, satisfaction with life as a whole and with different life domains, and its associations with social and health variables, shortly after breast cancer surgery.
This cross-sectional study included 605 women, aged 20-63 years, who had had breast cancer surgery with no distant metastasis, pre-surgical chemotherapy, or previous breast cancer. Associations between LiSat-11 and demographic and social factors as well as health- and treatment-related variables were analysed by multivariable logistic regression.
Compared with Swedish reference levels, the women were, after breast cancer surgery, less satisfied with life, particularly sexual life. Women working shortly after breast cancer surgery were more often satisfied with life in provision domains compared with the reference population. Although most included variables showed associations with satisfaction, after adjustment for all significantly associated variables, only six variables-having children, being in work, having emotional and informational social support, and having good physical and emotional functioning-were positively associated with satisfaction with life as a whole. The odds ratios for satisfaction were higher in most life domains if the woman had social support and good emotional and cognitive functioning.
One month after breast cancer surgery, satisfaction with different life domains was associated primarily with social support and health-related functioning. However, this soon after surgery, treatment-related variables showed no significant associations with life satisfaction. These results are useful for planning interventions to enhance e.g. social support and emotional as well as cognitive functioning.
探讨处于工作年龄的女性在乳腺癌手术后不久对整体生活以及不同生活领域的满意度，及其与社会和健康变量之间的关联。
这项横断面研究纳入了605名年龄在20至63岁之间的女性，她们接受了乳腺癌手术，且无远处转移、术前化疗或既往乳腺癌病史。通过多变量逻辑回归分析LiSat-11与人口统计学和社会因素以及健康和治疗相关变量之间的关联。
与瑞典参考水平相比，这些女性在乳腺癌手术后对生活的满意度较低，尤其是对性生活的满意度。与参考人群相比，乳腺癌手术后不久就工作的女性对生活供给领域的满意度更高。尽管大多数纳入的变量都显示出与满意度有关联，但在对所有显著相关变量进行调整后，只有六个变量——育有子女、有工作、获得情感和信息方面的社会支持、身体和情感功能良好——与整体生活满意度呈正相关。如果女性拥有社会支持以及良好的情感和认知功能，那么在大多数生活领域中，满意度的优势比更高。
乳腺癌手术后一个月，对不同生活领域的满意度主要与社会支持以及与健康相关的功能有关。然而，在手术后这么短的时间内，与治疗相关的变量与生活满意度没有显著关联。这些结果对于规划干预措施以增强例如社会支持、情感以及认知功能很有用。
